Individual
DR. CHRISTOPHER D PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 LEE PARKWAY DR, SUITE A, CHATTANOOGA, TN 37421-6708
(423) 305-1508
(423) 305-1514
Mailing address
105 LEE PARKWAY DR, SUITE A, CHATTANOOGA, TN 37421-6708
(423) 305-1508
(423) 305-1514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
TN8547
TN
101YM0800X
Mental Health Counselor
TN8547
TN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
TN8547
TN
207Q00000X
Family Medicine Physician
Primary
TN8547
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I084762
MEDICARE PTAN
TN
01
—
3370066
MEDICARE GROUP
TN
01
—
4256026
BCBS PIN
TN
Enumeration date
08/11/2005
Last updated
10/19/2010
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